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Medical Billing Specialist ENT

2 months ago

Austin, United States Daniel J. Leeman, MD Full time
Job DescriptionJob DescriptionDaniel J. Leeman, MD is a well established boutique Ear, Nose, Throat practice located in the Mueller Neighborhood in Austin, Texas 78723.

Our team is looking to add a Medical Billing Specialist to our growing team

Qualifications:


  • Minimum of (1) to (3) years of billing/collections experience within a clinic or physician practice. ENT preferred.
  • High school diploma required; formal billing education preferred.
  • Strong working knowledge of insurance plans, including Medicare and Medicaid.
  • Strong working knowledge of ICD-10 and CPT coding.
  • Strong working knowledge of claim appeals, denials, and their processes.
  • Proficiency in computer software use, including Microsoft Office, EMR and Practice Management systems.
  • Effective time management and the ability to prioritize work.
  • Excellent communication skills and the ability to interact with all levels of management, staff, and physicians.
  • Ability to read and interpret medical charts.
Essential Job Responsibilities:

  • Reviews and analyzes insurance claims being sent electronically on a daily basis.
  • Ensures claims are sent electronically and via paper every day,
  • Ensures that rejections from the clearinghouse and insurance company are resolved daily, within 24 hours of submission.
  • Generates CMS 1500 forms, when necessary.
  • Ensures timely processing of all secondary claims, within 48 hours of primary insurance payment posting.
  • Works closely with lead biller to facilitate the gathering of information that will insure proper response to claim denials.
  • Follow-up on all unpaid claims in a timely manner.
  • Generate and work aging reports weekly.
  • Maintain computer office notes for clear audit trail on every account worked.
  • Maintains tickler files, claims, and follow-up.
  • Work delinquent reports after all correspondence is updated.
  • Update patient insurance information to guarantee correct insurance billing.
  • Provide customer service to patients inquiring about their patient account statements.
  • Effectively communicate with patients and insurance companies regarding sensitive financial matters.
  • Send via mail or fax: invoices, medical reports and patient notes to insurance companies to collect payments.
  • Print aging/delinquent reports; review work accounts.
  • Assist with collecting payments via phone.
  • Often times helping with billing out clean claims and posting claims.
Benefits


  • PTO
  • 401(k)
  • Medical
  • Dental
  • Vision
  • Great team culture